{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T03:25:42Z","timestamp":1793762742311,"version":"4.6.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004398","name":"Mitsubishi Foundation","doi-asserted-by":"publisher","award":["202230008"],"award-info":[{"award-number":["202230008"]}],"id":[{"id":"10.13039\/501100004398","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["25KJ1576"],"award-info":[{"award-number":["25KJ1576"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>As survival after gastric and esophageal cancer continues to improve, sustained work participation has become an important survivorship outcome. We aimed to evaluate return\u2010to\u2010work (RTW) rates 18\u2009months after curative\u2010intent surgery for gastric and esophageal cancers and to identify clinical and socioeconomic factors associated with delayed or failed RTW.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter, longitudinal, prospective cohort study evaluated working\u2010age Japanese patients undergoing curative\u2010intent surgery for gastric or esophageal cancer. Working status was assessed preoperatively and at 6, 12, and 18\u2009months postoperatively. The primary outcome was working status at 18\u2009months. Secondary outcomes included time to first RTW, and factors associated with non\u2010working and delayed RTW. Exploratory analyses evaluated 6\u2010month patient\u2010reported outcomes (QLQ\u2010C30) and postoperative weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 158 eligible patients, 124 (78.5%) were working at 18\u2009months. Older age (\u2265\u200965\u2009years) and pathological stage\u2265\u2009III were associated with non\u2010working at 18\u2009months, whereas sedentary work and self\u2010employment were associated with a lower risk of non\u2010working. Postoperative appetite loss, financial difficulties (QLQ\u2010C30), and\u2009\u2265\u200910% body weight loss at 6\u2009months were associated with non\u2010working status. Median time to first RTW was 30 and 70\u2009days for gastric and esophageal cancers, respectively. Esophageal cancer and advanced stage were consistently associated with delayed RTW, with weaker evidence for associations with female sex and preoperative retirement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Approximately 80% of patients were working at 18\u2009months after surgery. Postoperative nutritional impairment and symptom burden were associated with long\u2010term work participation and may help identify patients at risk of not working after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ags3.70251","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T02:04:05Z","timestamp":1785117845000},"page":"1732-1742","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Return\u2010To\u2010Work and Working Status After Surgery for Gastric and Esophageal Cancer: A Prospective Observational Study"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2805-3226","authenticated-orcid":false,"given":"Kentaro","family":"Goto","sequence":"first","affiliation":[{"name":"Department of Surgery Kyoto University  Kyoto 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